Individual
KIMBERLY BURR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4107 ACORN LN, PORTER, TX 77365-9611
(832) 621-7581
Mailing address
PO BOX 474, ANGLETON, TX 77516-0474
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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